Individual
DIANE VAN HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1011 N GREEN ST, MCHENRY, IL 60050-5720
(815) 385-7210
Mailing address
80 INDIAN HILL TRL, CRYSTAL LAKE, IL 60012-3681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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